Collin Kwasnik, DDS, INC.
Clinic/Center, Dental in Berlin, VT. Organization (NPI-2).
NPI number1497323901
StatusActive
Last updated in NPPESJun 12, 2021
Details
- NPI
- 1497323901
- Entity type
- Organization (NPI-2)
- Legal business name
- Collin Kwasnik, DDS, INC.
- Organization subpart
- No
- Enumeration date
- Jun 12, 2021
- Certification date
- Jun 12, 2021
- Last updated
- Jun 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
395 Paine Tpke NBerlin, VT 05602-9157
Phone 802-229-0561
Mailing address
395 Paine Tpke NBerlin, VT 05602-9157
Phone 802-229-0561
Authorized official
Collin Kwasnik
Dentist/Owner
8022724498
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